Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job ance

Qualifications:

A relevant clinical or business related ND or Bachelor degree

develop educational materials for members

Manage budget and ensure no deviations

Ensure work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers

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Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, and optimise daily tasks to update cases on the hospital list within the 8-hour turnaround time

Follow hospitalised and home care patients

Identify the need for patient and hospital visits where possible of cases that require input from management or the team

Manage telephonic calls and inquiries from service providers

Co-ordinate services and care for members to prevent re-admissions and compli

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Pharmacist Medicine Intervention

Brooklyn

market related

urance

Job Duties:

Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
Load medicine and doctors
Manage operational and clinical tasks within Medicine Management

Required e:

Minimum of 2 years of experience in clinical interventions

Experience in the PBM environment

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Pharmacist Medicine Intervention

Brooklyn

market related

(SAPC)

Job Duties:

Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
Load medicine and doctors
Manage operational and clinical tasks within Medicine Management

Required e:

Minimum of 2 years of experience in clinical interventions

Experience in the PBM environment Qualifications:

Postgraduate qualification in Clinical Pharmacy

Working Conditions:

Work

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Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

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Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

share this job on whatsapp

Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and

share this job on whatsapp